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  5. HOWARD M. ROMBOM PHD. PSYCHOLOGIST, P.C.

HOWARD M. ROMBOM PHD. PSYCHOLOGIST, P.C.

Company Details

Name: HOWARD M. ROMBOM PHD. PSYCHOLOGIST, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Apr 1985 (40 years ago)
Entity Number: 987027
ZIP code: 11023
County: Suffolk
Place of Formation: New York
Address: 310 EAST SHORE RD, Suite 100, GREAT NECK, NY, United States, 11023

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. DEFINED BENEFIT PLAN 2023 112732830 2024-09-30 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2024-09-24
Name of individual signing HOWARD ROMBOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-24
Name of individual signing HOWARD ROMBOM
Valid signature Filed with authorized/valid electronic signature
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. PROFIT SHARING PLAN 2023 112732830 2024-09-23 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 35
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing HOWARD ROMBOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing HOWARD ROMBOM
Valid signature Filed with authorized/valid electronic signature
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. DEFINED BENEFIT PLAN 2022 112732830 2023-09-15 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2023-07-26
Name of individual signing HOWARD ROMBOM
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. PROFIT SHARING PLAN 2022 112732830 2023-06-20 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2023-06-20
Name of individual signing HOWARD ROMBOM
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. PROFIT SHARING PLAN 2021 112732830 2022-10-04 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing HOWARD ROMBOM
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. DEFINED BENEFIT PLAN 2021 112732830 2022-10-04 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing HOWARD ROMBOM
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. PROFIT SHARING PLAN 2020 112732830 2021-09-27 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2021-09-24
Name of individual signing HOWARD ROMBOM
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. DEFINED BENEFIT PLAN 2020 112732830 2021-09-28 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2021-09-27
Name of individual signing HOWARD ROMBOM
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. DEFINED BENEFIT PLAN 2019 112732830 2020-10-02 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing HOWARD ROMBOM
HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. PROFIT SHARING PLAN 2019 112732830 2020-04-07 HOWARD M. ROMBOM PHD, PSYCHOLOGIST, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 5164667077
Plan sponsor’s address 310 EAST SHORE ROAD, GREAT NECK, NY, 11023

Signature of
Role Plan administrator
Date 2020-04-03
Name of individual signing HOWARD ROMBOM
Role Employer/plan sponsor
Date 2020-04-03
Name of individual signing HOWARD ROMBOM

DOS Process Agent

Name Role Address
HOWARD M ROMBOM PHD PC DOS Process Agent 310 EAST SHORE RD, Suite 100, GREAT NECK, NY, United States, 11023

Chief Executive Officer

Name Role Address
MICHELLE DEAN, TARRYN MOOR, ELINA SPEKTOR, SUTEE TECHARATANAPRASERT Chief Executive Officer 310 EAST SHORE RD, SUITE 100, GREAT NECK, NY, United States, 11023

History

Start date End date Type Value
2024-02-07 2024-02-07 Address 310 EAST SHORE RD, GREAT NECK, NY, 11023, USA (Type of address: Chief Executive Officer)
2024-02-07 2024-07-08 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-12-28 2024-02-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-06 2023-12-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1999-05-04 2024-02-07 Address 310 EAST SHORE RD, GREAT NECK, NY, 11023, USA (Type of address: Service of Process)
1999-05-04 2024-02-07 Address 310 EAST SHORE RD, GREAT NECK, NY, 11023, USA (Type of address: Chief Executive Officer)
1992-11-09 1999-05-04 Address 5 CYPRESS LANE, EAST HILLS, NY, 11576, USA (Type of address: Chief Executive Officer)
1992-11-09 1999-05-04 Address 5 CYPRESS LANE, EAST HILLS, NY, 11576, USA (Type of address: Principal Executive Office)
1992-11-09 1999-05-04 Address 5 CYPRESS LANE, EAST HILLS, NY, 11576, USA (Type of address: Service of Process)
1985-04-04 1992-11-09 Address 28-50 211TH ST., BAYSIDE, NY, 11360, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240207000042 2024-02-07 BIENNIAL STATEMENT 2024-02-07
130418002122 2013-04-18 BIENNIAL STATEMENT 2013-04-01
110418003267 2011-04-18 BIENNIAL STATEMENT 2011-04-01
090326002084 2009-03-26 BIENNIAL STATEMENT 2009-04-01
070405002515 2007-04-05 BIENNIAL STATEMENT 2007-04-01
050509002284 2005-05-09 BIENNIAL STATEMENT 2005-04-01
030324002804 2003-03-24 BIENNIAL STATEMENT 2003-04-01
010412002238 2001-04-12 BIENNIAL STATEMENT 2001-04-01
990504002586 1999-05-04 BIENNIAL STATEMENT 1999-04-01
970411002563 1997-04-11 BIENNIAL STATEMENT 1997-04-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Dec 2024

Sources: New York Secretary of State

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